Individual provider Active NPI

Stephanie L. Anderson-Ladd, MFT

  • Professional Counselor
  • Chapel Hill, NC
National Provider Identifier
1861576167
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7380 Issued in NC
Practice address
117 Winsome LN
Chapel Hill, NC 27516-4702
Phone
(919) 883-9093
Fax
(832) 218-5584
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7380 NC Primary
Marriage & Family Therapist 106H00000X 1289 NC

Addresses

Primary practice location

117 Winsome LN
Chapel Hill, NC 27516-4702

Mailing address

117 Winsome LN
Chapel Hill, NC 27516-4702
Phone (919) 883-9093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1289NCMDMarriage & Family Therapist
7380NCMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1861576167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 WINSOME LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164702",
            "telephone_number": "919-883-9093",
            "fax_number": "832-218-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 WINSOME LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164702",
            "telephone_number": "919-883-9093",
            "fax_number": "832-218-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON-LADD",
        "first_name": "STEPHANIE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7380",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.